反复胸闷胸痛伴心理精神障碍的诊疗进展

The Progress in Diagnosis and Treatment of Repeated Chest Tightness or Chest Pain with Psychological Disorders

近年来,临床中关于反复胸闷胸痛患者的较高误诊率引起了广大医务工作者的重视,此类患者伴有的心理精神障碍往往被忽视,得不到合理的治疗,预后较差。本文主要讨论关于反复胸闷胸痛患者病因的鉴别、心理精神障碍引起胸闷胸痛的机制、胸闷胸痛与心理精神障碍的关系、"双心"医学诊疗模式以及反复胸闷胸痛的治疗进展,通过增强临床医生对"双心"医学的认识降低胸闷胸痛患者的误诊率、漏诊率,减少过度治疗,通过心血管医学和心理干预联合治疗,改善心血管疾病患者的预后、降低死亡率。

Recent years, the misdiagnosis of repeated chest tightness or chest pain aroused more attention to medical workers. These patients maybe along with psychological disorders which always be neglected, with unreasonable treatment, lead to poor prognosis. This article focuses on the differential diagnosis, the mechanism of psychological disorders causing chest tightness or chest pain, the relationship between repeated chest tightness or chest pain with psychological disorders, psych-cardiology medical mode. By enhancing clinician＇s knowledge about ＂psych-cardiology＂ to reduce the rate of misdiagnosis in patients with chest tightness or chest pain, the excessive medical treatment, through joint cardiovascular medicine and psychological intervention treatment, it will improve the prognosis of cardiovascular disease, reduce mortality.